HomeMy WebLinkAboutIowa Department of Transportation-1/30/2012Form 33U240wd
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Change Order Part Part
Non -Substantial: ❑ 0
No. 5 Substantial: ® 0 01 / 24111
Contract
Accounting ID No.: N/A (Project Locally Let) County Black Hawk
Concurrence Date
Project No: NRT-NT08(1)-9G-07
Kind of Work: P.C.C. Trail Date Prepared: 01-23-12
Contractor. Vieth Construction Corporation
You are hereby authorized to make the following changes to the contract documents.
A - Description of change to be made or extra work to be done:
8013 - Wall Removal and Replacement
8 - Reason for change or extra work:
The existing wall and trail adjacent to the 7th Street Pump Station which was shown in the plans to leave in place was determined to be
unsafe, and in need of removal and replacement. This change order includes the removal of the existing wall, construction of new wall, and
construction of new trail on this section of the portage.
(Continued on reverse side)
Approved
Director, Office of Systems Planning
ty of Waterloo, IA
Date Project Engineer
Receipt is acknowledged of this change or extra work and terms of settlement are hereby agreed to.
Approved contingent upon funds being available under the existing I.%/G %if
f'o
Date
project agreement or upon additional Federal -aid funds being Contractor
made available by a modified project agreement. ,/ /
By /2 /e./ -4:s,
Date For the Division Administrator
Federal Highway Administration Approved
/ 72-0 C
Date
Assistant Construction Engineer Date
DISTRIBUTION: Project Engineer- Forward original to District.
District - Nonsubstantiit- Ford original and one copy to the Office of Constndon and two copies bads to the Project Engineer.
- Substantial - Forward original and two copies to the Office of Construction.
CA —Settlement for cost of work to be made as follows:
8013 — Contractor will be paid a lump sum price of $34.595
C-2 — Justification for cost(s)
8013 — Cost breakdown provided by contractor as follows:
Accounting ID No. I I I I I
(Project Locally Let)
Change Order No. 5
55 additional working days will be added to contract for this work. This change order significantly changes the scope of the work. In
addition, the site conditions (building in the Cedar River), have not allowed a typical construction sequencing for the original scope of
work, and have necessitated the addition of additional working days.
D — ITEMS INCLUDED IN CONTRACT
If Credit
Add "CR"
Change
No.
Line Item Number
Unit Price
.xxx
Quantity
.xxx
Amount
.xx
7
E — ITEMS NOT INCLUDED IN CO
TOTAL
If Credit,
Change
No.
Item Description
Item Number
Function
Code
Semi -Tractor and Lowboy
15 hrs
$125
$1,875
Sawcut Existing wall
50 If
$48
$2,400
Break Existing Wall
CAT 315 and CAT H115
6 hrs
($185 +
$85)
$1,620
Cleanup Concrete CAT 315
2 hrs
$185
$370
Dump Truck for Concrete
2 hrs
$95
$180
Class 20 Exc. Cat 315
5 hrs
$185
$925
Dump Truck for Class 20
3 hrs
$95
$285
Supervisor/Pickup
12 hrs
$65
$750
Sandbags at Pump Station
25 ea
$10
$250
6" Thompson Water Pump
8 hrs
$110
$880
General Laborer
16 hrs
$45
$780
Re -Bar
1500 Ibs
$2.50
$3,750
3/4" Dowels
50 EA
$11
$550
Structural Concrete
16 CY
$1250
$20,000
TOTAL
$34,615
Accounting ID No. I I I I I
(Project Locally Let)
Change Order No. 5
55 additional working days will be added to contract for this work. This change order significantly changes the scope of the work. In
addition, the site conditions (building in the Cedar River), have not allowed a typical construction sequencing for the original scope of
work, and have necessitated the addition of additional working days.
D — ITEMS INCLUDED IN CONTRACT
If Credit
Add "CR"
Change
No.
Line Item Number
Unit Price
.xxx
Quantity
.xxx
Amount
.xx
7
E — ITEMS NOT INCLUDED IN CO
TOTAL
If Credit,
Change
No.
Item Description
Item Number
Function
Code
Unit Price
.xxx
Quantity
.xxx
Amount
.xx
8013
Wall Removal and Replacement
41
, 410
1.00
34,615.00
34,615.00
TOTAL
34,615.00